Step Back to the Beat of Life

Our Specialties Include

  • Hip, Knee & Shoulder Reconstruction / Repair / Replacement Surgery
  • Hip Resurfacing
  • Unicompartmental & Partial Knee Replacement
  • Back, Neck and Shoulder Injuries & Treatment
  • Revision of Failed Joint Replacement
  • Joint Preservation Surgery
  • Minimally Invasive & Muscle Sparing Surgical Techniques
  • Computerized Surgical Navigation Joint Replacement
  • Arthroscopic Surgery
  • Arthroscopy Knee Ligament Reconstruction
  • Sports Medicine
  • Care of the Competitive Athlete
  • Related Traumatic Injuries
  • Complication Management in Hip / Knee Reconstructive Surgery
  • Pain Management
  • Spinal Disorders
  • Kyphosis
  • Scoliosis (Adult & Pediatric)
  • Degenerative Disc Disease
  • Spinal Fusion / Decompression
Kansas Joint & Spine Institute

Office Information: Medical Forms

Provided below are various forms that require completion prior to your visit and/or surgery. Please download the appropriate form as directed by your physician and/or staff by clicking on the name of the form. If you cannot access the form, please click on the Adobe icon. This will allow you to download this software, providing access to the forms. Please bring the completed form(s) with you to your scheduled visit. This will help expedite the registration process. Thank you.

* Privacy Notice (HIPAA)
* Patient History Form
* Patient Information Form
* Medicare Secondary Payer Questionnaire

If you cannot access the forms you can click on the icon to download the software.

Download Adobe Reader